Summaries of Proposed Rules

The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rules

Please scroll to the right to see all of the columns in the table below.
Proposed Rule Summary Fiscal Note(s) Link to Missouri Register / Supporting Documents Small Business Impact Statement Division

Proposed Amendment

20 CSR 2220-7.010.pdf

20 CSR 2220-7.010 General Licensing Rules

The rule is being amended to remove references to paper application forms/processing to reflect the board’s current electronic application process and to remove pharmacist temporary authorization letters.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2220-7.030.pdf

20 CSR 2220-7.030 Pharmacist Licensure by Examination

The rule is being amended to identify when incomplete pharmacist applications will be deemed invalid.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2220-7.060.pdf

20 CSR 2220-7.060 Score Transfer

The rule is being amended to remove references to required paper application forms.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2220-7.025.pdf

20 CSR 2220-7.025 Intern Pharmacist Licensure

The rule is being amended to clarify intern pharmacist application requirements for new graduates, enhance readability, and reference the current name of the National Association of Boards of Pharmacy’s foreign pharmacy graduate examination committee.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2220-7.040.pdf

20 CSR 2220-7.040 Foreign Graduates

The rule is being amended to remove the preliminary application requirement for foreign pharmacy graduates subject to the rule, establish NAPLEX & MPJE testing limits, update references to the Foreign Pharmacy Graduate Examination Committee, and identify when pending pharmacist license applications are deemed invalid. 

Public Costs:

This proposed amendment will result in a revenue decrease of approximately three-thousand dollars ($ 3,000) in the aggregate, as reflected in the filed fiscal note.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2234-6.010.pdf

20 CSR 2234-6.010 Continuing Education

This amendment adds a special approval for repeating continuing education courses for private investigator and agency investigator employees.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Private Investigators

Proposed Amendment

20 CSR 2220-7.027.pdf

20 CSR 20 CSR 2220-7.027 Approved Missouri Schools/Colleges of Pharmacy

The rule is being amended to clarify requirements for intern pharmacist site/preceptor lists submitted by an approved Missouri school/college of pharmacy and update rule references.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2220-7.050.pdf

20 CSR 2220-7.050 License Transfer/Reciprocity

The rule is being amended to accommodate electronic applications and clarify testing requirements for pharmacist license transfer/reciprocity applicants.

Public Costs:

This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

Proposed Amendment

20 CSR 2197-4.030.pdf

20 CSR 2197-4.030 Apprenticeship Training Program

This amendment updates and clarifies clock hours for training.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Chiropractic

Proposed Rule

20 CSR 2070-2.110.pdf

20 CSR 2070-2.110 Nonresident Military Spouse Licensure

This rule stated the requirements and procedures for a nonresident spouse of an active duty member of the military who was transferred to this state in the course of the member’s military duty to obtain a temporary courtesy license to practice chiropractic for one hundred eighty (180) days, subject to possible extension as provided by law. 

Public Costs:

This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses. 

Professional Registration – Chiropractic

Proposed Amendment

20 CSR 2270-2.041 Reexamination.pdf

20 CSR 2270-2.041 Reexamination

This amendment updates the examination application deadline and the national examination organization procedure changes.   

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2270-1.031.pdf

20 CSR 2270-1.031 Application Procedures

This amendment updates the procedures on obtaining an application, removing the notarization requirement, and reducing the number of photos.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2270-3.020 Examinations.pdf

20 CSR 2270-3.020 Examinations

This amendment updates language to comply with changes made by the national examination organization.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2270-2.031 Examinations.pdf

20 CSR 2270-2.031 Examinations

This amendment updates the application deadline and the national examination organization procedure changes.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2270-4.060 Minimum Standards for Supervision.pdf

20 CSR 2270-4.060 Minimum Standards for Supervision

This amendment updates the  chart on levels of supervision.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2263-2.031.pdf

20 CSR 2263-2.031 Acceptable Supervisors and Supervisor Responsibilities

This amendment updates the chart on levels of supervision

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Veterinary

Proposed Amendment

20 CSR 2263-2.070.pdf

20 CSR 2263-2.070 Temporary Permits for Licensed Social Workers

This amendment adds language to request an extension for a temporary permit and clarifies requirements for master social workers.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Social Workers

Proposed Amendment

20 CSR 2263-2.082.pdf

20 CSR 2263-2.082 Continuing Education

This amendment updates continuing education requirements and clarifies self-study requirements.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Social Workers

Proposed Amendment

20CSR2110-2.071.pdf

20 CSR 2110-2.071 License Renewal—Dentists and Dental Hygienists

This amendment clarifies that licensees will be required to submit copies of their continuing education documents for renewal pursuant to sections 332.181 and 332.261, RSMo.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses. 

 

Professional Registration – Dental

Proposed Amendment

20CSR2150-5.030.pdf

20 CSR 2150-5.030 Physical Therapy, Rehabilitation Services, or Both

This amendment updates the citation to section 334.100.2(22), RSMo.   

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses. 

Professional Registration – Healing Arts

Proposed Amendment

20 CSR 2245-6.017 AQB 2018 Licensure Criteria.pdf

20 CSR 2245-6.017 AQB 2018 Licensure Criteria

This amendment adds the requirement for applicants to submit work product and allows applicants to complete a practicum course to meet the experience requirement. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Appraisers

Proposed Amendment

20 CSR 2245-6.018 AQB 2026 Licensure Criteria.pdf

20 CSR 2245-6.018 AQB 2026 Licensure Criteria

This amendment adds the requirement for applicants to submit work product and allows applicants to complete a practicum course to meet the experience requirement.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Appraisers

Proposed Amendment

20 CSR 2150-7.135.pdf

20 CSR 2150-7.135 Physician Assistant Collaborative Practice Arrangements

This amendment removes language requiring a one- (1-)month period for the collaborating physician to be continuously present with the physician assistant.   

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.  

Private Costs:

This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses. 

Professional Registration – Healing Arts

Proposed Amendment

20 CSR 2110-2.240.pdf

20 CSR 2110-2.240 Continuing Dental Education

This proposed change would allow licensees to claim continuing education hours for authoring articles published in professional journals. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses. 

Professional Registration – Dental

Proposed Amendment

Definitions

The board is adding new section (3) and renumbering as necessary. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rule does not have an adverse impact on small business. 

Professional Registration – Land Surveyors

Proposed Amendment

20 CSR 400-5.900

Suitability in Annuity Transactions

This proposed amendment implements the National Association of Insurance Commissioners (NAIC) Suitability in Annuity Transactions Model Regulation #275.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Insurance

Proposed Amendment

20 CSR 400-13.100

Health Insurance Rates

This proposed amendment requires an actuarial value and cost-sharing factor spreadsheet be included in proposed rates and rate filings for health benefit plans.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Insurance
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Missouri Department of Commerce & Insurance
Mailing Address

PO Box 690
Jefferson City, MO 65102-0690

Main Office Phone Number

(573) 751-4126

Street Address

Harry S Truman State Office Building
301 W. High St., Room 530
Jefferson City, MO 65101